Organization Active NPI

Still Waters Wellness Counseling LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • O'Fallon, IL
National Provider Identifier
1124962105
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
STILL WATERS WELLNESS COUNSELING LLC
Practice address
1161 Fortune Blvd Ste 400
O Fallon, IL 62269-7385
Phone
(314) 884-1443
NPI assigned
Apr 17, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Schuyler Czech, LCSWNPI 1780308924
Title
Owner
Phone
(314) 884-1443

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1161 Fortune Blvd Ste 400
O Fallon, IL 62269-7385

Mailing address

1161 Fortune Blvd Ste 400
O Fallon, IL 62269-7385

National Provider Directory

National Provider Directory

Locations

1161 Fortune Blvd
Ste 400
Shiloh, IL 62269
Phone (618) 334-5571

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1776384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776384000000",
    "number": "1124962105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1161 FORTUNE BLVD STE 400",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622697385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1161 FORTUNE BLVD STE 400",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622697385",
            "telephone_number": "314-884-1443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STILL WATERS WELLNESS COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-17",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A",
        "authorized_official_last_name": "CZECH",
        "authorized_official_first_name": "SCHUYLER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-884-1443",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in O'Fallon, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.